LACEY CAROLINE GARDNER PA-C NPI 1679758254

NPI Information

  • NPI: 1679758254
  • Provider Name: LACEY CAROLINE GARDNER, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1970 ASHLAND DR
    MOUNT PLEASANT, MI
    ZIP 48858
  • Phone: (989) 779-5262

Map and Directions

Get Directions

NPI Details

Lacey Caroline Gardner, PA-C is a physician assistant in Mount Pleasant, MI. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Lacey Caroline Gardner, PA-C NPI is 1679758254. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1970 ASHLAND DR
MOUNT PLEASANT, MI
ZIP 48858-203
Phone: (989) 779-5262
Fax: (989) 772-6784

The NPI 1679758254 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hemoglobin a1c level (HCPCS:83036)

The enumeration date for this NPI number is 1/2/2008 and was last updated on 2/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant5601005080MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Z96017093MEDICARE PINMICHIGAN
2080B610040OTHERMICHIGANBCBS
3MI1118002MEDICARE PINMICHIGAN
4010Z960170OTHERMICHIGANBLUE CROSS BLUE SHIELD
50Z96017OTHERMICHIGANMEDICARE PTAN
60Z96017OTHERMICHIGANMEDICARE GROUP
7MI1118OTHERMICHIGANMEDICARE GROUP NUMBER
80P43930OTHERMICHIGANMEDICARE GROUP NUMBER
9P43930004MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI